Pre-call Telephone Script

Survey of Engineered Nanomaterial Occupational Safety and Health Practices

Documents and Forms

Document Name Document Type
Form 0920-1202 Pre-call Telephone Script Form and Instruction
0920-1202 Nano Survey Att 8_Nano Survey.docx Form and Instruction
Att 8a_Nano Survey (Screenshots).docx Nano Survey(screenshots) IC Document

Information Collection (IC) Details

IC Title:	Pre-call Telephone Script	Agency IC Tracking Number:	0920-1202

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	0920-1202	Nano Survey	Att 8_Nano Survey.docx		Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 300	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	300	300
Annual IC Time Burden (Hours)	25	25
Annual IC Cost Burden (Dollars)	342	342

Documents for IC

Title	Document	Date Uploaded
Nano Survey(screenshots)	Att 8a_Nano Survey (Screenshots).docx	08/27/2019

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.